Dr Scott’s

Restorative Health & Aesthetics


BOTOX/Dysport Wrinkle Relaxers

botox treatments in Charlotte

Do you feel that the moderate to severe frown lines (glabellar lines) between your brows make you look tired or unapproachable?   Do you sweat excessively in palms or under arm area, have migraines, or displeased with a gummy smile?  We can help with that! 

Here we will outline using Botox/Dysport for wrinkles.  

The thought of Dysport or Botox  may seem  scary to some, but the risks of treatment are very small.    Both are neurotoxins that works by attaching itself to nerve endings.  The neurotransmitter responsible for triggering muscle contractions, can’t be released, so the injections temporarily decrease the muscle action that can cause wrinkles.   This decrease in muscle contractions will usually last for about 3 months.

Who is the ideal candidate?   

Dr. Scott always likes to say “The best wrinkle is the one you never get”.  When neurotoxins were first used to treat wrinkles, it was thought of as a treatment for the “older folk”.   As people become more aware of the importance of skin care for maintaining a healthy appearance and self esteem, many younger people are  taking a pro-active and preventive approach to healthy skin and aging. 

One of the greatest things  we like about Botox/Dysport in our clinic  is that these injections are not only for current fine lines and bothersome wrinkles you may have, they can also prevent new wrinkles from forming. Botox/Dysport injections are most effective on wrinkles that haven’t quite set in.   This is probably why the fastest growing segment of wrinkle relaxer clients, are those in their early 20’s and 30’s, who care about their skin and want to keep it looking healthier, longer. It’s important to reduce the onset of wrinkles before they become moderate or severe.  

For those who are a little older, 40+, do you ever look in the mirror and have an instant of panic because you could SWEAR you saw your mother or father staring right back at you?    DON’T DESPAIR!   IT’S NEVER TO LATE TO START LOOKING BETTER!  

There are 3 types of wrinkles.  Dynamic, Static, and Wrinkle Folds.  

Dynamic wrinkles are wrinkles that appear with continual facial movement, like frowning, drinking, laughing.  Dynamic wrinkles are caused by the contraction of muscles that are attached to the overlying skin. Over the years, each muscle contraction causes the skin to bunch together, forming lines between the bulk of the muscle. The most common locations for dynamic wrinkles are between the eyebrows, forehead wrinkles, (link to problems), on the cheeks near the outer corners of the eyes, referred to as ‘crow’s feet‘, and wrinkles around the lips, like smokers lines or water bottle wrinkles(link to problems).  These are the types of wrinkles that are best treated with a neurotoxin, like Botox/Dysport.  All the dermabrasion and chemical peels in the world, can’t treat dynamic wrinkles.   Why?   Because they’re unable to relax the muscles that cause those wrinkles to appear. Injections can also help “text neck” or “necklace” lines on the neck.

Static wrinkles are caused by damage to the skin from sun, smoking, genetics, poor nutrition, or from prolonged dynamic wrinkling. Our treatments for these types of wrinkles can be found here.

Wrinkle Folds are often due to sagging of the facial structures from aging, such as bone, fat and collagen loss.   Our patients have seen fabulous results from some of the different protocols we use, such as Juvederm, Sculptra, Radiesse, PDO Threads, IPL and RadioFrequency


What is the difference in Botox and Dysport?

Time to effect:  The primary differences in Botox and Dysport, is that Botox can take a little longer to take effect, with an average of 1 week and for some, up to 2 weeks after your session.  With Dysport, the average time to effect is about 3-7 days.   These are AVERAGES, as every person is different. 

Dosage: An important difference between Botox and Dysport: they are dosed differently. For example 50 units of Botox does not equal 50 units of Dysport. 1 unit of Botox® is equivalent to roughly 2.5-3 units of Dysport®.

Cost:  Because the units are measured completely differently.  Therefore, you will need more units of Dysport than Botox per treatment area.  Botox for the Glabella would be approximately 20 units and Dysport would be approximately 50 units.   **Remember these are approximates only and may differ between injectors. 

Our Botox pricing is $11.99/unit and Dysport is $3.99/unit. 

How Much will I need?  

Because every face is unique, each area of treatment absolutely needs to be customized by an experienced injector.  Asymmetry, and differences in wrinkle characteristics, can vary from one side of the face to the other.    To help give you an idea, here are some ESTIMATES ONLY!

Of course, Botox can’t work wonders on everyone. 

As a rule of thumb, you may not be a candidate for either procedure if you:

  • Have weakened facial muscles, are pregnant have a history of botulinum toxin sensitivity have a milk allergy (not sensitivity) have an infection at the proposed injection site.
  • Side effects from Botox are relatively rare, but as with any cosmetic procedure, they can still happen. The most common side effect of Botox injections is temporary bruising, followed by headaches lasting up to 48 hours. Eyelid drooping can also occur and usually subsides within three weeks.
  • Also, as a precaution, you’ll likely need to discontinue blood thinners, muscle relaxers, and other medications that might interact with the injections. It’s important to tell Your Provider at Dr. Scott’s about all medications and supplements you take, even if they are available over the counter.


For the healthiest skin, it is important to have a GOOD home skincare regimen, like our ZO products, (link to our ZO)  practice a healthy lifestyle, use good skincare supplements, (link to our supplements) if you don’t get enough in your diet, and use sunscreen, 30 SPF or higher.   Also, be sure you mark as HIGH PRIORITY, a regular plan with your provider to receive treatments that are stronger and use different medical-grade modalities to complement your home treatments.  At Dr. Scott’s Restorative Health & Aesthetics,   we are able to offer treatments that medspas without physicians cannot.     

Remember, only MD’s, licensed RN’s and NP’s working under a doctor are legally able to inject in North Carolina.  If you are offered injectables that are not under the supervision of a licensed MD, they are practicing illegally!   Keep yourself safe!

BOTOX® Cosmetic (onabotulinumtoxinA):  A prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to severe wrinkles in adults including, crow’s feet lines, frown lines, and between the eyebrows.


BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities

The dose of BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, or both at the same time.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breastfeeding or plan to breastfeed (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, orXeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-433-8871.

Please see BOTOX® Cosmetic full Product Information including Boxed Warning and Medication Guide.

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